Background/Objectives:
To evaluate the mammographic and sonographic findings of pregnancy associated breast cancer.
IJ Radiology
To evaluate the mammographic and sonographic findings of pregnancy associated breast cancer.
In this study, we selected 25 patients who were diagnosed with pregnancy associated breast cancer during the previous 10 years. The disease was diagnosed during pregnancy (n = 5) or lactation (n = 20). All patients underwent ultrasonography, the first choice for evaluation of pregnancy associated breast disease. Mammography was performed for 22 patients.
The commonest clinical symptom was a breast lump. Ultrasound was abnormal in all cases. The most common ultrasound finding was a solitary hypo echoic mass with irregular shape, irregular margin, and heterogeneous echogenicity. Architectural distortion was seen in two patients. Some unusual sonographic findings for breast cancer were detected in these patients, including parallel orientation, cystic components, and posterior enhancement. Mammography was performed for 22 patients and revealed positive findings in 80% of cases despite a dense breast. The most common mammographic finding was a breast mass with or without microcalcification (n = 10). Microcalcification alone was seen in 2 patients. Lesions, were predominantly invasive ductal carcinoma (96%).
Ultrasonography is recommended for the initial diagnosis of pregnancy associated breast cancer. Mammography is indicated when initial evaluation suggests a malignant lesion or when ultrasound is negative in spite of a palpable breast lesion. When the imaging results are suspicious, a biopsy should be performed to obtain a pathologic diagnosis.
© 2014, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Jafari M, Gity M, Olfatbakhsh A, Rezaei-Kalantari K, Hashemi EA. Pregnancy-associated Breast Cancer: A Review of Imaging Modalities. Int J Cancer Manag. 2018;11(7):e65444. doi: https://doi.org/10.5812/ijcm.65444
Akbari M, Nabatzade M, Azargashb E, Nafissi N, Haghighatkhah HR, et al. Evaluation of Clinical Assessment, Mammography, and Ultrasonography in Diagnosis of Benign and Malignant Breast Lesions and Determining Their Cost-Effectiveness. Int J Cancer Manag. 2019;12(9):e69683. doi: https://doi.org/10.5812/ijcm.69683
Keshavarz E, Zare Mehrjardi M, Karimi MA, Valian N, Kalantari M, et al. Diagnostic Value of Spectral Doppler Ultrasound in Detecting Breast Malignancies: An Original Article. Int J Cancer Manag. 2018;11(2):e8200. doi: https://doi.org/10.5812/ijcm.8200
Nalaini F, Mirbahari SG, Hoseini J, Mohammadi M. Concordance between breast ultrasound reports, based on BIRAD system, and ultrasound guided fine needle aspiration in breast lesions. J Kermanshah Univ Med Sci. 2013;17(6):e77052. doi:
Ezeofor SN, Iloanusi NI, Okere PC. Concerns About Breast Pain: How Useful Is Imaging?. Health Scope. 2022;11(3):e121702. doi: https://doi.org/10.5812/jhealthscope-121702
Ordering Reprints
Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC